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Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 3/Question#30 (reveal difficulty score)
A 23-year-old woman comes to the physician ...
Diabetes mellitus 🔍 / 📺 / 🌳 / 📖
tags: endo

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submitted by step_prep2(66)
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  • Diagnosis requires 2 out of 3 of the following criteria: (1) Clinical and/or biochemical hyperandrogenism (2) Oligomenorrhea (3) Polycystic ovaries on pelvic ultrasound /// Our patient has clinical hyperandrogenism (coarse hair over body) and oligomenorrhea (irregular menses)
  • Key idea: Although often associated with insulin resistance and ultimately associated with development of Type 2 diabetes, insulin resistance is not formally included in diagnostic criteria

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etherbunny  I think that StepPrep means to add that this patient has Polycystic Ovarian Syndrome. +6
yb_26  patients with PCOS also have an increased risk for endometrial hyperplasia/cancer (not ovarian) due to chronic anovulation +1



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